Organization Active NPI

Amara Hospice LLC

  • Community Based Hospice Care Agency
  • Saginaw, MI
National Provider Identifier
1740816479
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMARA HOSPICE LLC
Practice address
3085 Bay Rd Ste 3
Saginaw, MI 48603-2405
Phone
(989) 401-6991
NPI assigned
Mar 13, 2020
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Avrohom Maierovits
Title
Partner
Phone
(732) 994-4324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3085 Bay Rd Ste 3
Saginaw, MI 48603-2405

Mailing address

200 Blvd of the Americas
Suite 201
Lakewood, NJ 08701
Phone (732) 994-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200626000140 MI Part A Provider - Hospice 0547682254 Practice locations: Saginaw, MI; Southfield, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740816479. Details of each certification follow.

Hospice certification: CCN 231668

Legal name
AMARA HOSPICE LLC
Doing business as
AMARA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 10, 2019
Last certification
Jan 10, 2019
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Enrollment address
3085 Bay Rd
Ste 3
Saginaw, MI 48603-2405

Care Compare: Hospice

Medicare Care Compare
Listed as
Amara Hospice, LLCCCN 231668 · All quality measures
Ownership
For-Profit
Certified
Jan 10, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2189435Amara Hospice3085 Bay Road Suite 3, Saginaw, MI 48603Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Locations

25899 W 12 Mile Rd
Ste 170
Southfield, MI 48034
Phone (248) 720-7000

200 Boulevard of Americas
Ste 201
Lakewood, NJ 08701

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shneur Steinberg Individual 5% Or Greater Direct Ownership InterestOwner May 14, 2020 10%
W-2 Managing EmployeeAd; May 14, 2020
Deborah F Feigenbaum Individual 5% Or Greater Direct Ownership InterestOwner May 14, 2020 30.6%
Avraham R Feigenbaum Individual 5% Or Greater Direct Ownership InterestOwner Feb 7, 2019 30.6%
Avrohom Y Maierovits Individual 5% Or Greater Direct Ownership InterestOwner May 14, 2020 7.2%
Michael a Samluk Individual Contracted Managing EmployeeMD; Apr 1, 2022 20%
Zalman L Drew Individual 5% Or Greater Direct Ownership InterestOwner May 14, 2020 18%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Change-of-ownership history 1

DateEventCounterparty
May 14, 2020 Change of OwnershipThis provider was the buyer A Plus Hospice Care IncCCN 231668, MI, NPI 1821593294

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1740816479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BLVD OF THE AMERICAS",
            "address_2": "SUITE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-994-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 BAY RD STE 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032405",
            "telephone_number": "989-401-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MAIEROVITS",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-994-4324"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.